Key Worker Form

Your Name (required)

Partners Name (if applicable)

Your Email (required)

Phone Number (required)

Type of Key Worker (required)
—Please choose an option—TeacherTeaching Assistant Supporting those with EHCPHealth WorkersSocial Care WorkersFoster CarersBlue Light Services and those who provide logistical supplies

Will you require childcare
YesNo

Child/Children's Names

Please state the name of emergency contact and number we should use whilst the child is in school during shut down

Which days do you require your child to be at school? (If on a rota state all days you may need)

Is your child entitled to free school meals?
YesNo